A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care
This two-year study funded by the Agency for Healthcare Research and Quality (AHRQ) and led by Dr. Matthew Tubb focused on the development of a novel iPad app for use by smokers in their primary care provider's office. The goal was to disseminate comparative effectiveness research about smoking cessation and encouraged shared decision making about cessation options.
To learn more, please view the NAPCRG poster.
An Experimental Intervention for Social Anxiety and Alcohol Dependence
The Attention Modification Program (AMP) was a randomized controlled trial evaluating a four-week computer-based intervention for individuals with co-occurring social anxiety and alcohol dependence. Dr. Joshua Magee was the UC site investigator on this study funded by the National Institute on Alcohol Abuse and Alcoholism of the NIH. AMP was designed to help community members develop healthy mental habits by refocusing their attention away from reminders of anxiety, alcohol or both anxiety and alcohol.
An Interprofessional Strategy for Improving Primary Care Management of Patients with Chronic Pain: Project TEAMS (Teleconference Education and Management Support)
This project was funded by Pfizer Medical Education Group, and led by Dr. Nancy Elder and Dr. Jill Boone. Project TEAMS/ECHO clinics are free, monthly, interactive, webinar-based primary care mentoring sessions for primary care physicians, nurse practitioners, physician assistants, students, nurses, medical assistants and office staff to assist with the care of patients with chronic pain. Experts from pain management, physical therapy, pharmacy, addiction medicine, integrative medicine and mental health will discuss, advise and answer questions about patients with chronic pain. Pre and Post surveys and chart reviews are being used to compare change in physician self-efficacy for providing evidence based chronic pain assessment and management.
BREATHE: A Breathing Retraining School-Based Intervention for African-American Adolescents with Asthma
Dr. Sian Cotton led this study, funded in part by a Community Health Grant from the UC CCTST. This study was a school-based randomized clinical trial examining the feasibility and efficacy of a breathing retraining intervention as compared to education in African-American adolescents with asthma.
Comparing Subjective and Objective Health in Primary Care
Funded, and in partnership with Interact for Health and the United Way, and led by Dr. Nancy Elder and Dr. Jeffrey Jacobson this study explored how 500 family medicine patients assess their own health and how that assessment compares to assessments by the patients’ family physicians and to objective data from patient charts. In addition, the study is also qualitatively examining why people rate their health the way they do and what would need to change in order to improve their self-rated health status. Data from the 500 patients and their family physicians were collected in 2013, with data analysis occurring in 2014-current.
Diabetes Care in Primary Care: Quality and Determinants of Glycemic Control
Funded by the Rieveschl Foundation, and initiated by professor emeritus Dr. Robert Smith, this project recruited patients for three distinct studies from local primary care practices. Large amounts of data were collected including medications, comorbidities, lab results, lifestyle factors, and blood samples. Led by Dr. Matthew Tubb and Dr. Philip Diller, several division members continue work on this project. The data are revealing interesting findings in our population. Data analysis and manuscript development are in progress. One specific future goal is to investigate genetic predictors of response to oral diabetic drugs.
Effectiveness of Mobile Health Devices for Patients with Severe Mental Illness
The utilization of mobile phones is a rapidly growing area of healthcare. The Ohio Colleges of Medicine Government Resource Center and the Medicaid Technical Assistance and Policy Program (MEDTAPP) contracted with Professor Charles Doarn and Dr. Joshua Magee to study of the Effectiveness of Mobile Health Devices for Medicaid Recipients with Severe Mental Illness. This rapid turnaround project provided a comprehensive report on the current status of mobile phone application for individuals in Ohio with severe mental illness, and is leading further efforts in the state.
Evaluation of a Social Media Campaign to Reduce Emergency Department Visits
In partnership with the Health Collaborative of Greater Cincinnati (and funded by the Robert Wood Johnson Foundation), Dr. Matthew Tubb and Dr. Nancy Elder led an evaluation of a social media campaign called MakeTheRightCall, which encouraged people to avoid inappropriate emergency department visits by having and using a primary care physician. The evaluation included performing a return on investment calculation, partnering with Dr. Lenisa Chang from the UC College of Business. Data was collected in 2014, followed by analysis in 2015.
Evaluation of Community Screenings in Primary Care
In partnership with Interact for Health, Dr. Nancy Elder, Dr. Christopher White and Dan Hargraves evaluated the reach and success of Interact for Health funded projects supporting Screening, Brief Intervention, and Referral to Treatment (SBIRT) programs in community practices. This four-year evaluation assessed projects screening for a number of important conditions, including drug and alcohol use, tobacco use and depression.
Hand Hygiene and Face Touching in Family Medicine Offices
Funded by the American Academy of Family Physicians Foundation Grant Program, this project of the Cincinnati Area Research and Improvement Group (CARInG) practice based research network was led by Dr. Nancy Elder and community physician Dr. Will Sawyer. The project assessed how family physicians and their staffs practiced good hand hygiene and avoided touching their eyes, nose and mouth – important techniques to prevent the spread of respiratory infection. Participants also were surveyed on how they communicated with patients about preventing infections. This research published in the Journal of the American Board of Family Medicine in 2014.
Hospice and Palliative Care Research
Palliative medicine is a medical specialty focused on improving the quality of life of people facing chronic, life-threatening illness. Emphasis is placed on pain and symptom management as well as communication and coordination of care. Two areas of inquiry form the center of our research in hospice and palliative care. Dr. Douglas Smucker led an AHRQ funded qualitative research project examining patient safety incidents in home hospice care, which resulted in a 2014 publication in the Journal of Palliative Medicine. The second focus area was examining the effect of an inpatient palliative care consult service on patient care outcomes in the acute care hospital.
Improving Mental Health Among Group Visit Prenatal Patients
This project led by Dr. Montiel Rosenthal and Dr. Saundra Regan (funded by CCTST) focused on depression, stress reduction, substance abuse, patient education and empowerment of pregnant women participating in group visits to improve the outcomes of their pregnancies. Presentations to the prenatal groups occurred with sessions on Lactation, Infant CPR, Prenatal Yoga, Safe Sleep for Infants, Substance Abuse in Pregnancy, Meditation and Depression Self-Help Measures. Social Worker referrals for community based maternity and mental health services targeted women at highest risk who scored highest on screening tools. Patient outcomes were analyzed using pre- and post-delivery testing and electronic health record review of mother and baby with respect to gestational age at time of delivery, infant birth weight, # of emergency room/triage visits, tobacco, alcohol and street drug use and cessation, stress and depression scale scores, breastfeeding, and attendance at post-partum visit.
Partnerships that Promote Integrated, Multidisciplinary Training Models and Increase Healthcare Access for the Ohio Medicaid Population
The major goal of this project, led by Dr. Joseph Kiesler and Dr. Diana McIntosh, was to collaborate with the community to develop multidisciplinary approaches to train practitioners to provide integrated primary and mental health care to the underserved. Through multiple educational activities and multiple training sites, this project provided innovative and inter-professional training for residents, students, advanced practice psychiatric mental health nurse practitioners and non-psychiatric providers in caring for Ohio’s Medicaid population.
Patterns of Relating Between Physicians and Medical Assistants
A team led by Dr. Nancy Elder performed this AHRQ funded research to explore the physician-MA relationship and the effect of that relationship on team functioning in family medicine offices. MAs’ roles in these offices were determined by MA career motivations and physician-MA relationships. An ethnographic study elaborated these motivations and relationships within the model of relationship centered care. The study was published in the Annals of Family Medicine in 2014.
Randomized Control Trial of an Over-the-Counter Homeopathic Rubbing Oil vs. Placebo Rubbing Oil for Immediate Relief of Leg and Foot Neuropathy Pain
The aim of this research led by Dr. Christopher White and funded by Wise Consumer Products Company was to study whether a currently available over-the-counter homeopathic Neuropathy Rubbing Oil Product produces superior pain relief compared to placebo in patients with peripheral neuropathy on the legs and/or feet as measured by a modified Neuropathy Pain Scale (NPS).
Primary Care Training and Enhancement (PCTE) MAT Supplemental
The Primary Care Training and Enhancement (PCTE) MAT Supplemental, led by Dr. Jeffrey Schlaudecker and funded by Health Resources and Services Administration, aimed to strengthen the primary care workforce by supporting enhanced training for future primary care clinicians, teachers and researchers and promoting primary care practice in rural and underserved areas. Family Medicine residents and faculty physicians along with community healthcare professionals will gain knowledge and confidence in identifying and treating opioid use and other substance disorder with Medication Assisted Treatment (MAT) through discreet activities that provide, discussion of challenges and facilitators, hands-on experiences and direct exposure to treatment methods. The goal is to increase the number of MAT providers in our region to mitigate the toll of the opioid epidemic.
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